Organization
AUSTIN ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE MARIE ASHTON (MANAGED CARE COORDINATOR)
(512) 454-1220
Entity
Organization
Contact information
Practice address
711 W 38TH ST, SUITE A-1, AUSTIN, TX 78705-1121
(512) 454-1220
(512) 467-0363
Mailing address
711 W 38TH ST, SUITE A-1, AUSTIN, TX 78705-1121
(512) 454-1220
(512) 467-0363
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
TX
Other
Enumeration date
08/05/2006
Last updated
01/14/2010
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